A 52-Year-Old Man Comes in for a Check-Up to Discuss

A 52-year-old man comes in for a check-up to discuss the findings of his colonoscopy. The doctor informs the patient that a malignant polyp was removed and that the resection margins show no evidence of aggressive malignancy. He is then reassured that his prognosis is favorable. As a result, the patient rants and yells furiously, "Are you saying I should be grateful you discovered cancer in the first place? You have no idea what you're doing!" Which of the following is the best way to deal with the patient?

A) "Feeling like you don't have control in your life can be difficult; I can assure you that you have received the best care."
B) "I realize it can be very upsetting to be told something unexpected about your health; what is your understanding of the results?"
C) "It's hard to process news like that, but I want to make sure you understand that the cancer was completely removed."
D) "You're allowed to feel angry, and I'm available to continue this conversation after you've calmed down."
E) "You seem very distressed with your results; would you like me to refer you to another physician for a second opinion?"